| NPI | 1255087250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2026-05-19 |